AMY ELISABETH CLEMENT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****23

License Status

NOT RENEWED

Business

First Name

AMY

Middle

ELISABETH

Last Name

CLEMENT

Business Name

AMY ELISABETH CLEMENT

Original Issue Date

08/22/2019

Effective Date

02/18/2020

Expiration Date

03/01/2022

City

BREESE

State

Zip

62230

County

CLINTON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022